PMID- 33919732 OWN - NLM STAT- MEDLINE DCOM- 20211020 LR - 20211204 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 10 IP - 4 DP - 2021 Apr 14 TI - New Insights into the Multifaceted Role of Myeloid-Derived Suppressor Cells (MDSCs) in High-Grade Gliomas: From Metabolic Reprograming, Immunosuppression, and Therapeutic Resistance to Current Strategies for Targeting MDSCs. LID - 10.3390/cells10040893 [doi] LID - 893 AB - Cancer cells "hijack" host immune cells to promote growth, survival, and metastasis. The immune microenvironment of high-grade gliomas (HGG) is a complex and heterogeneous system, consisting of diverse cell types such as microglia, bone marrow-derived macrophages (BMDMs), myeloid-derived suppressor cells (MDSCs), dendritic cells, natural killer (NK) cells, and T-cells. Of these, MDSCs are one of the major tumor-infiltrating immune cells and are correlated not only with overall worse prognosis but also poor clinical outcomes. Upon entry from the bone marrow into the peripheral blood, spleen, as well as in tumor microenvironment (TME) in HGG patients, MDSCs deploy an array of mechanisms to perform their immune and non-immune suppressive functions. Here, we highlight the origin, function, and characterization of MDSCs and how they are recruited and metabolically reprogrammed in HGG. Furthermore, we discuss the mechanisms by which MDSCs contribute to immunosuppression and resistance to current therapies. Finally, we conclude by summarizing the emerging approaches for targeting MDSCs alone as a monotherapy or in combination with other standard-of-care therapies to improve the current treatment of high-grade glioma patients. FAU - Lakshmanachetty, Senthilnath AU - Lakshmanachetty S AUID- ORCID: 0000-0002-3760-2772 AD - Morgan Adams Brain Tumor Research Program, Department of Pediatrics, Division of Hematology/Oncology/Bone Marrow Transplant, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA. FAU - Cruz-Cruz, Joselyn AU - Cruz-Cruz J AUID- ORCID: 0000-0003-2760-3648 AD - Morgan Adams Brain Tumor Research Program, Department of Pediatrics, Division of Hematology/Oncology/Bone Marrow Transplant, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA. FAU - Hoffmeyer, Eric AU - Hoffmeyer E AD - Morgan Adams Brain Tumor Research Program, Department of Pediatrics, Division of Hematology/Oncology/Bone Marrow Transplant, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA. FAU - Cole, Allison P AU - Cole AP AD - Morgan Adams Brain Tumor Research Program, Department of Pediatrics, Division of Hematology/Oncology/Bone Marrow Transplant, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA. FAU - Mitra, Siddhartha S AU - Mitra SS AD - Morgan Adams Brain Tumor Research Program, Department of Pediatrics, Division of Hematology/Oncology/Bone Marrow Transplant, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210414 PL - Switzerland TA - Cells JT - Cells JID - 101600052 SB - IM MH - Brain Neoplasms/*immunology/*metabolism/pathology MH - *Drug Resistance, Neoplasm MH - Glioma/*immunology/*metabolism/pathology MH - Humans MH - *Immunosuppression Therapy MH - Myeloid-Derived Suppressor Cells/*immunology/*metabolism/pathology MH - Neoplasm Grading PMC - PMC8070707 OTO - NOTNLM OT - MDSCs OT - brain tumors OT - glioblastoma OT - glioma OT - high-grade glioma OT - immune suppression OT - immunotherapy OT - metabolic reprogramming OT - therapeutic resistance OT - therapeutic targeting OT - tumor microenvironment COIS- The authors declare no conflict of interest. EDAT- 2021/05/01 06:00 MHDA- 2021/10/21 06:00 PMCR- 2021/04/14 CRDT- 2021/04/30 01:13 PHST- 2021/03/31 00:00 [received] PHST- 2021/04/09 00:00 [revised] PHST- 2021/04/10 00:00 [accepted] PHST- 2021/04/30 01:13 [entrez] PHST- 2021/05/01 06:00 [pubmed] PHST- 2021/10/21 06:00 [medline] PHST- 2021/04/14 00:00 [pmc-release] AID - cells10040893 [pii] AID - cells-10-00893 [pii] AID - 10.3390/cells10040893 [doi] PST - epublish SO - Cells. 2021 Apr 14;10(4):893. doi: 10.3390/cells10040893.